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General NPI Number Information
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NPI Number | 1427322114
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Entity Type | Organization
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Legal Business Name | APEX DIAGNOSTIC SERVICES INC
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 5111 PEGASUS CT STE A
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City | FREDERICK
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State | MD
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Zip | 21704-8318
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Country | US
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Telephone | 240-379-1560
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Fax | 240-379-1561
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Provider Business Mailing Address
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Address Line | 5111 PEGASUS CT STE A
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City | FREDERICK
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State | MD
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Zip | 21704-8318
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Country | US
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Telephone | 240-379-1560
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Fax | 240-379-1561
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RIZ TARIQ
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Credential |
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Telephone | 240-457-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 1868
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License Number State | MD
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